The identity of the transporter responsible for
fructose absorption in the intestine in vivo and its potential role in
fructose-induced
hypertension remain speculative. Here we demonstrate that Glut5 (Slc2a5) deletion reduced
fructose absorption by approximately 75% in the jejunum and decreased the concentration of serum
fructose by approximately 90% relative to wild-type mice on increased dietary
fructose. When fed a control (60%
starch) diet, Glut5(-/-) mice had normal blood pressure and displayed normal
weight gain. However, whereas Glut5(+/+) mice showed enhanced
salt absorption in their jejuna in response to
luminal fructose and developed systemic
hypertension when fed a high
fructose (60%
fructose) diet for 14 weeks, Glut5(-/-) mice did not display
fructose-stimulated
salt absorption in their jejuna, and they experienced a significant impairment of nutrient absorption in their intestine with accompanying
hypotension as early as 3-5 days after the start of a high
fructose diet. Examination of the intestinal tract of Glut5(-/-) mice fed a high
fructose diet revealed massive dilatation of the caecum and colon, consistent with severe malabsorption, along with a unique adaptive up-regulation of ion transporters. In contrast to the malabsorption of
fructose, Glut5(-/-) mice did not exhibit an absorption defect when fed a high
glucose (60%
glucose) diet. We conclude that Glut5 is essential for the absorption of
fructose in the intestine and plays a fundamental role in the generation of
fructose-induced
hypertension. Deletion of Glut5 results in a serious nutrient-absorptive defect and volume depletion only when the animals are fed a high
fructose diet and is associated with compensatory adaptive up-regulation of ion-absorbing transporters in the colon.